Howard Reece-Smith trained at The Royal London Hospital, Whitechapel. His basic surgical training took place at The Royal Berkshire Hospital, Reading and during surgical rotations in Oxford, Southampton and Bath.

He was appointed as a Consultant General Surgeon at the Royal Berkshire Hospital in 1985. His main area of clinical interest is in the surgical treatment of bowel cancer, hernia repair, gall bladder surgery and paediatric surgery.